Individual provider Active NPI

Rebecca R. Jentzen, MD

  • Internal Medicine Physician
  • Golden, CO
National Provider Identifier
1750518635
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51372 Issued in CO
Practice address
1707 Cole Blvd.
Ste #100
Golden, CO 80401
Phone
(303) 716-8013
Fax
(303) 763-5495
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD45484 IA
Internal Medicine Physician 207R00000X 51372 CO Primary

Addresses

Primary practice location

1707 Cole Blvd.
Ste #100
Golden, CO 80401

Mailing address

1707 Cole Blvd.
Ste #100
Golden, CO 80401
Phone (303) 716-8013

Other practice location 1

403 1st St SE
Belmond, IA 50421-1201
Phone (641) 444-3500

Other practice location 2

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

Other identifiers 1

IdentifierTypeStateIssuer
79953379MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, GA, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181009001939 IA Practitioner - Internal MedicinePractitioner - Hospitalist 7517123276 Reassigns benefits to 4 organizations
I20210331000093 GA Practitioner - Internal Medicine 7517123276 Reassigns benefits to 1 organization
I20230614001711 ME Practitioner - Internal Medicine 7517123276 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51372COMDInternal Medicine Physician
MD45484IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Jul 7, 2022 Accepting new patients
Sebasticook Valley Health CurrentSince May 8, 2023 Accepting new patients
Sebasticook Valley Health CurrentSince May 8, 2023 Accepting new patients
Belmond Community Hospital Current Accepting new patients
MRH Corp. CurrentSince Dec 3, 2023 Accepting new patients
MRH Corp. CurrentSince Dec 3, 2023 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Oct 1, 2018 Accepting new patients
Belmond Community Hospital CurrentSince Apr 1, 2019 Accepting new patients
Mercy Hospital Past Accepting new patients
MRH Corp. Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

Interoperability endpoints

  • Direct secure messaging: rjentzen148938@uihcdirect.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1750518635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD.",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-716-8013",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD.",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-716-8013",
            "fax_number": "303-763-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "319-343-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENTZEN",
        "first_name": "REBECCA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD45484",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "51372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79953379",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.